The Department of Health has accused a Kissimmee doctor of over-prescribing powerful, addictive drugs and an array of violations including improperly documenting his patients' medical history.
The state agency recently filed an administrative complaint against Dr. Mark Round, asking the Board of Medicine to impose at least one penalty against him, ranging from revoking his medical license to imposing a fine.
An employee at Round's office, located at 801 W. Oak Street, said the doctor had no comment.
The health department's 110-page complaint details more than two-dozen alleged violations involving 11 patients who were treated for chronic pain.
The complaint said Round prescribed large quantities of controlled substances, such as the painkiller oxycodone and sedative alprazolam, and that the patients' medical records don't contain documentation of each controlled substance.
In one case, a patient identified as P.C., was given multiple prescriptions for Oxycontin, Xanax, Soma, Perocet, Endocet and Ambien at various times in 2005 and 2006.
The complaint said Round did not establish an adequate treatment plan for P.C., use other pain-management techniques or monitor the patient's compliance regarding medication usage.
Round also didn't obtain radiographic images to assess P.C.'s chronic pain.
"A reasonably prudent physician would not have prescribed sustain-released opiates, such as Oxycontin 40 mg, without documenting an indication therefore," the complaint said.
Round stopped treating P.C. after he obtained a bottle of 90 alprazolam tablets, and four refills within a 26-day period, the document said.
The complaint also said patient M.C., who was high-risk for medication abuse, admitted to using her father's pain medications despite receiving her own treatment from Round.
From February 2005 to June 2006, Round prescribed M.C. multiple refills of Xanax, Soma, Oxycontin, Endocet, Flexeril and Percocet.
The complaint said Round failed to order urine drug screening despite the high-risk nature of M.C. The health department said a "reasonably prudent" physician would have ordered a urine drug screening.
In another case, the health department documented, Round gave patient J.L.H. multiple prescriptions for large amounts of controlled substances including Lorcet.
The complaint said Round directed the patient to take two Lorcet tablets every four hours, which subjects the patient to acetaminophen toxicity.
With patient T.B., the health department notes, Round prescribed "excessive and inappropriate" amounts of methadone without conducting an adequate evaluation.
T.B.'s medical records don't contain adequate documentation for the treatment provided, the complaint said.
In another case, the health department said Round gave patient R.H. a host of medicine, including 145 prescriptions of 90 tablets of hydrocodone from 2006-2008.
And in another instance, the health department said Round was treating patient W.T. as early as March 2004, but that Round's record for the patient didn't include any medical evaluations prior to March 2006.
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